Center for Comprehensive Access & Delivery Research and Evaluation (CADRE), Iowa City VA Health Care System, Iowa City, Iowa 42286, USA.
Telemed J E Health. 2012 Mar;18(2):109-14. doi: 10.1089/tmj.2011.0109. Epub 2012 Feb 3.
Personal health records provide patients with ownership of their health information and allow them to share information with multiple healthcare providers. However, the usefulness of these records relies on patients understanding and using their records appropriately. My HealtheVet is a Web-based patient portal containing a personal health record administered by the Veterans Health Administration. The goal of this study was to explore veterans' interest and use of My HealtheVet to transfer and share information as well as to identify opportunities to increase veteran use of the My HealtheVet functions.
Two waves of data were collected in 2010 through an American Customer Satisfaction Index Web-based survey. A random sample of veterans using My HealtheVet was invited to participate in the survey conducted on the My HealtheVet portal through a Web-based pop-up browser window.
Wave One results (n=25,898) found that 41% of veterans reported printing information, 21% reported saving information electronically, and only 4% ever sent information from My HealtheVet to another person. In Wave Two (n=18,471), 30% reported self-entering medication information, with 18% sharing this information with their Veterans Affairs (VA) provider and 9.6% sharing with their non-VA provider.
Although veterans are transferring important medical information from their personal health records, increased education and awareness are needed to increase use. Personal health records have the potential to improve continuity of care. However, more research is needed on both the barriers to adoption as well as the actual impact on patient health outcomes and well-being.
个人健康记录使患者拥有自己的健康信息,并允许他们与多个医疗保健提供者共享信息。然而,这些记录的有用性依赖于患者是否能够正确理解和使用他们的记录。My HealtheVet 是一个基于网络的患者门户,其中包含由退伍军人事务部管理的个人健康记录。本研究的目的是探讨退伍军人对 My HealtheVet 的兴趣和使用情况,以转移和共享信息,并确定增加退伍军人使用 My HealtheVet 功能的机会。
2010 年通过美国客户满意度指数网络调查收集了两波数据。通过网络弹出式浏览器窗口邀请使用 My HealtheVet 的退伍军人随机样本参与在 My HealtheVet 门户上进行的调查。
第一波结果(n=25898)发现,41%的退伍军人报告打印信息,21%报告电子保存信息,只有 4%曾从 My HealtheVet 将信息发送给其他人。在第二波(n=18471)中,30%报告自行输入药物信息,其中 18%与他们的退伍军人事务部(VA)提供者共享此信息,9.6%与非 VA 提供者共享。
尽管退伍军人正在从他们的个人健康记录中转出重要的医疗信息,但仍需要加强教育和提高认识,以增加使用率。个人健康记录有可能改善医疗连续性。然而,需要对采用的障碍以及对患者健康结果和福祉的实际影响进行更多的研究。